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CSAC membership Form

Once in a while (normally at the time you are renewing your membership), we will ask you to update your member details so that we have the correct membership data..

Kindly fill in the form below and click on "Submit". Data will be received by the Club Secretary and you will receive an email confirmation once the data is vetted.

If you had any issues in filling out the form, feel free to contact us on the email info@calypsosac.org.

Members wishing to send your membership payment online, kindly use the link in the left hand menu..

All data provided will only be used by the club for club records and communication purposes only. No data is provided to third parties unless the member is first requested to grant his permission..

By signing this form

I agree to abide by the rules of the Calypso Sub‐Aqua Club and acknowledge that I undertake underwater swimming and associated activities at my own risk and responsibility. I am not suffering from any physical complaint or ailment which may jeopardize my safety or wellbeing whilst taking part in such activities and agree that the Calypso Sub‐Aqua Club may hold my Membership details on a computer database.

You must complete this medical statement, which includes the medical history information section, prior to enjoying any recreational scuba diving services. Its purpose is to inform you whether you should be examined by a physician before participating in recreational diving training. If any of these conditions apply to you, this does not necessarily disqualify you.

It only means that, for your own safety, you must seek the advice of a physician prior to participating in recreational scuba diving (details at the end of this form).

Please acknowledge that you have read and understood the information provided below by writing your full name at the beginning and end of the form and with your submit button at the end, you confirm that the answers to the questions above are true and complete. It is for your own safety and that of others diving with you.

Enter Name*

1. YOU MUST CONSULT A PHYSICIAN IF

You are pregnant or you suspect you may be pregnantYou regularly take medications (with the exception of birth control)You are over 45 years of age and you smokeYou are over 45 years of age and you have a high cholesterol level

Enter Name again to confirm you have read all the above and reconfirm your answer*

2. YOU MUST CONSULT A PHYSICIAN IF YOU EVER HAD

asthma, or wheezing with breathing or wheezing with exerciseany form of lung diseasepneumothorax (collapsed lung)history of chest surgeryclaustrophobia or agoraphobia (fear of closed or open spaces)epilepsy, seizures, convulsions or take medications to prevent themhistory of blackouts or fainting (full or partial loss of consciousness)history of diving accidents or decompression sicknesshistory of diabeteshistory of high blood pressure or take medications to control blood pressurehistory of heart diseasehistory of ear disease, hearing loss or problems with balancehistory of thrombosis or blood clottingpsychiatric disease

3. I AM AWARE I COULD BE UNFIT TO DIVE IF I HAVE OR DEVELOP ANY ONE OF THE FOLLOWING CONDITIONS

(Enter intials next to each one - e.g. "DA")

Cold, sinusitis, or any breathing problems such as bronchitis and hay fever*Acute migraine or headache*Any kind of surgery within the last six weeks*Under influence of alcohol, drugs or medication affecting the ability to react*Fever, dizziness, nausea, vomiting and diarrhoea*Problems equalising such as when popping ears*Pregnancy*Acute gastric ulcers*

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If you have answered "Yes" to any of the above conditions or if you suffer from any other medical problem, kindly take note of the following contact details for the HyperBaric Chamber at Mater Dei Hospital with whom you can arrange a free checkup with a Diving Consultant. Service is only available for persons with medical issues, Dive Guides and Instructors.

Phone +356 2545 5273 between 8AM and 11AM Monday to Friday.

(Please have on hand your Maltese I.D. Card Number or ask for further assistance if you don't have one)

If you have a diving medical certificate, kindly add in the notes box at the end of the form and send it by email to info@calypsosac.org after filling this form.

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Diving Certificate (if available) upload

Conditions Accceptance*Validation

Thank You for submitting your information.

If you need to submit your membership payment, details can be found by clicking here

For any questions, kindly email the club secretary on info@calypsosac.org